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H36.811 vs H36.819

H36.811 (Nonproliferative sickle-cell retinopathy, right eye) compared with H36.819 (Nonproliferative sickle-cell retinopathy, unspecified eye), from the official CMS tabular data. H36.811 and H36.819 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H36.811
Right
Nonproliferative sickle-cell retinopathy, right eye
H36.819
Unspecified
Nonproliferative sickle-cell retinopathy, unspecified eye

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. H36.811 and H36.819 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

H36.811Nonproliferative sickle-cell retinopathy, right eyeH36.819Nonproliferative sickle-cell retinopathy, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionNonproliferative sickle-cell retinopathy, right eye is a billable ICD-10-CM diagnosis code (H36.811).Nonproliferative sickle-cell retinopathy, unspecified eye is a billable ICD-10-CM diagnosis code (H36.819).
Code first
underlying disease, such as:
lipid storage disorders (E75.-)
underlying disease, such as:
lipid storage disorders (E75.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources